Mucosal iodine staining of entire esophagus in the diagnosis of advanced esophageal carcinoma
- VernacularTitle:进展期食管癌全食管粘膜碘染色的作用
- Author:
Shengyun ZHOU
;
Zhenbo TAN
;
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasms;
Endoscopy;
Staining
- From:
Chinese Journal of Digestive Endoscopy
1996;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effectiveness of Lugol's chromoendoscopy of the entire e-sophagus on the diagnosis of advanced esophageal carcinoma. Methods Four-hundred and forty patients with advanced esophageal carcinoma were examined with lugols chromoendoscopy preoperatively. Biopsy was taken from non-stained area. The specimen obtained after esophagectomy were sectioned in sub-series. Results Abnormal stains were observed in 55 cases( 12. 5% )including 48 with multifocus,4 with extended lesions and 3 with both. The patterns of esophagectomy were changed in 51 cases due to abnormal finding of stains. Compared with the pathology specimen, the sensitivity and specificity of the stain for multifocus were 97. 9% and 85. 2% respectively. Conclusion It is useful in the patients with advanced esophageal carcinoma to perform a Lugol' s chromoendoscopy . More detailed information might obtain from the examination , particularly in finding out the multifocus lesions and outlining the extent of lesion.
